431 E State Hwy 114, Suite 380, Southlake, TX 76092Se Habla Español
Board-Certified·Fellowship-Trained·Southlake, TX
Statewide Referrals · Southlake, Texas

Patients travel across Texas for their hands.

Loredo Hand Care Institute is one office, on the State Highway 114 corridor ten minutes from DFW International Airport. Patients fly and drive in from Houston, Lubbock, Midland, Corpus Christi, Tyler, El Paso and the Rio Grande Valley. This page explains why, and exactly how an out-of-town visit works.

Why patients travel this far for a hand

Hand surgery is a small subspecialty, and the specific operations patients travel for are not offered everywhere in Texas. Dr. Pedro Loredo is board-certified in General Surgery by the American Board of Surgery and in the Hand Surgery subspecialty by the American Board of Plastic Surgery, and fellowship-trained at the Christine M. Kleinert Institute, where he assisted on a hand transplant. Patients travel in for three reasons.

01

Endoscopic technique

Endoscopic carpal tunnel and cubital tunnel release use a single micro incision instead of a 2 to 3 cm palm incision. Most patients return to desk work roughly one to two weeks sooner than after open release, and no skin sutures need removal — which is what makes a fly-in trip practical.

02

Complex trauma and microsurgery

Crush injuries, tendon and nerve lacerations, ring avulsion, high-pressure injection injuries and replantation need microsurgical repair under an operating microscope. Industrial and oilfield injuries from West Texas and the Gulf Coast are a routine part of this practice.

03

Second opinions and revision

Hands that still hurt, catch or feel numb after a previous operation. Bring prior operative reports, imaging and any EMG or nerve conduction studies, and they will be reviewed before you travel.

Getting here from your part of Texas

Approximate travel to the Southlake office at 431 E State Hwy 114, Suite 380. Flight times are to DFW International Airport, about ten minutes away.

Travel times to the Southlake office from cities across Texas
FromTravelCommonly treated from this region
Houston3 h 45 m drive · 55 min flight to DFWRefinery, petrochemical and port hand injuries; complex crush and degloving.
San Antonio4 h 15 m drive · 55 min flightMilitary and veteran referrals through the VA Community Care Network.
Austin3 h 15 m drive · 50 min flightKeyboard-intensive carpal tunnel and thumb basilar arthritis.
Lubbock5 h drive · 1 h 10 m flightAgricultural machinery injuries, PTO and auger trauma.
Midland–Odessa5 h drive · 1 h 15 m flightOilfield crush, high-pressure injection and ring avulsion injuries.
Corpus Christi6 h drive · 1 h 15 m flightCommercial fishing and dock injuries; tendon and nerve lacerations.
Galveston4 h 15 m driveMarine and industrial hand trauma.
Tyler & Longview2 h driveTimber and manufacturing injuries; East Texas workers’ comp.
El Paso9 h drive · 1 h 45 m flightSecond-opinion and revision surgery after prior repair.
Amarillo5 h 30 m drive · 1 h flightFeedlot and ranch trauma; cold-exposure injury.
Waco & Temple1 h 45 m driveCentral Texas referrals; same-day evaluation is realistic.
Rio Grande Valley8 h drive · 1 h 45 m flightSpanish-language care throughout the visit and recovery.

Call (972) 939-4974 before you travel. The office will verify your benefits, tell you what records to send ahead, and where possible schedule the evaluation and surgery on the same trip.

How an out-of-town visit actually works

  1. Before you leave home. Call the office. Send prior operative reports, imaging and EMG or nerve conduction studies. Complete the online intake forms — they are encrypted on your own device and take about 15 minutes, in English or Spanish.
  2. Trip one: evaluation. Examination, review of outside imaging, diagnosis, and a surgical plan with a clear cost estimate. Benefits are verified before you arrive.
  3. Trip one, continued: surgery. Surgery is scheduled at the first available opening after the evaluation. Endoscopic carpal tunnel release takes 10 to 15 minutes per hand under local anesthesia with light sedation; most patients are at the surgery center 1 to 2 hours total and use the hand lightly the same evening.
  4. Trip two: follow-up. Usually 10 to 14 days later. For patients who travel a long way, later follow-up can often be handled by phone and with a hand therapist closer to home, coordinated by this office.

Questions from patients travelling in

Do patients really travel from across Texas for hand surgery?

Yes. Loredo Hand Care Institute regularly treats patients who drive or fly in from Houston, San Antonio, Austin, Lubbock, Midland, Odessa, Corpus Christi, Tyler, El Paso, Amarillo and the Rio Grande Valley. Most come for one of three reasons: a hand injury that needs subspecialty microsurgical repair, a second opinion after a prior surgery did not resolve the problem, or endoscopic carpal tunnel and cubital tunnel release that is not offered locally.

How many trips to Southlake does out-of-town hand surgery take?

Most out-of-town patients make two trips. The first visit is the evaluation, imaging review and surgical plan, and surgery is scheduled at the first available opening after that evaluation, which can sometimes fall within the same trip. The second trip is the follow-up, usually 10 to 14 days later. For patients who travel a long distance, later follow-up can frequently be handled by phone or with a local therapist, coordinated by our office.

Can the first visit and the surgery happen on the same trip?

Often yes. Surgery is scheduled at the first available opening after the evaluation, and endoscopic carpal tunnel release takes 10 to 15 minutes per hand under local anesthesia with light sedation. Patients typically leave the surgery center within 1 to 2 hours. Call (972) 939-4974 before you travel so the office can confirm the plan, verify benefits, and reserve operating time.

Where do out-of-town patients stay, and how far is the airport?

The office is at 431 E State Hwy 114, Suite 380, Southlake, TX 76092, on the State Highway 114 corridor roughly 10 minutes from DFW International Airport. Southlake and neighbouring Grapevine have hotels within a short drive of the office and the surgery center, which makes a fly-in, one-night, fly-out trip realistic for a straightforward procedure.

Will Texas workers’ compensation cover an injured worker travelling from another part of the state?

Texas workers’ compensation is a statewide system, so an injured worker in Midland, Houston or Lubbock can be treated in Southlake under the same claim. The office verifies coverage with the carrier before the first visit, communicates directly with the adjuster and case manager, submits required documentation, and provides MMI determinations and impairment ratings. There is no out-of-pocket cost to the injured worker for covered care.

Is Spanish-language care available for patients travelling from South Texas?

Yes. Dr. Loredo and the office staff speak Spanish, the patient intake forms are available in Spanish, and the entire visit including the surgical consent discussion can be conducted in Spanish. Se habla español.

Can I be seen for a second opinion after hand surgery somewhere else in Texas?

Yes, and revision and second-opinion cases are a meaningful part of the practice. Bring or send prior operative reports, imaging, and any nerve conduction or EMG studies ahead of the visit so they can be reviewed before you travel. Call (972) 939-4974 and the office will tell you exactly what to send.

However far you are, start with a phone call.

Most new patients are seen within days, and surgery is scheduled at the first available opening after the evaluation. Se habla español.

Call (972) 939-4974